SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 01/13/2021 | 3. Issuer Name and Ticker or Trading Symbol Poshmark, Inc. [ POSH ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (1) | (1) | Common Stock(2) | 6,743,998 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series B Preferred Stock | (1) | (1) | Common Stock(2) | 2,419,084 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series B-1 Preferred Stock | (1) | (1) | Common Stock(2) | 1,932,820 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series C Preferred Stock | (1) | (1) | Common Stock(2) | 2,571,944 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series C-1 Preferred Stock | (1) | (1) | Common Stock(2) | 2,051,089 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series D Preferred Stock | (1) | (1) | Common Stock(2) | 29,858 | 0.00 | I | Mayfield XIII, a Cayman Islands Exempted Limited Partnership(3) |
Series D Preferred Stock | (1) | (1) | Common Stock(2) | 1,504,854 | 0.00 | I | By Mayfield Select, a Cayman Islands Exempted Limited Partnership(4) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Each share of Series A Preferred Stock, Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock, Series C-1 Preferred Stock and Series D Preferred Stock (collectively, the "Preferred Stock") is convertible into shares of the Issuer's Common Stock, par value $0.0001 per share, on a one-for-one basis and has no expiration date. |
2. Immediately prior to the completion of the Issuer's initial public offering, each share of Common Stock shall be reclassified into one share of Class B Common Stock. |
3. Mayfield XIII Management (UGP), Ltd., a Cayman Islands Exempted Company, or MF XIII UGP, is the general partner of Mayfield XIII Management (EGP), L.P., a Cayman Islands Exempted Limited Partnership, which is the general partner of Mayfield XIII, a Cayman Islands Exempted Limited Partnership, or MF XIII. Rajeev Batra, Navin Chaddha, and Vaneeta Varma are the directors of MF XIII UGP. As a result, each of the foregoing entities and individuals may be deemed to share beneficial ownership of the shares owned by MF XIII, but each of the individuals disclaims such beneficial ownership. |
4. Mayfield Select Management (UGP), Ltd., a Cayman Islands Exempted Company, or MF Select UGP, is the general partner of Mayfield Select Management (EGP), L.P., a Cayman Islands Exempted Limited Partnership, which is the general partner of Mayfield Select, a Cayman Islands Exempted Limited Partnership, or MF Select. Rajeev Batra, Navin Chaddha, Timothy Chang, and Urshit Parikh are the directors of MF Select UGP. As a result, each of the foregoing entities and individuals may be deemed to share beneficial ownership of the shares owned by MF Select, but each of the individuals disclaims such beneficial ownership. |
Remarks: |
Mayfield XIII, a Cayman Islands Exempted Limited Partnership By: Mayfield XIII Management (EGP), L.P., its general partner By: Mayfield XIII Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
Mayfield XIII Management (EGP), L.P., its general partner By: Mayfield XIII Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
Mayfield XIII Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
Mayfield Select, a Cayman Islands Exempted Limited Partnership By: Mayfield Select Management (EGP), L.P., its general partner By: Mayfield Select Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
Mayfield Select Management (EGP), L.P., its general partner By: Mayfield Select Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
Mayfield Select Management (UGP), Ltd., its general partner By: /s/ Paul Kohli, Authorized Signatory | 01/13/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |